| Jenni Levine Driscoll | |
|
319 E Ridgewood Ave Ridgewood NJ 07450-3301 | |
| (551) 305-9600 | |
| Not Available |
| Full Name | Jenni Levine Driscoll |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 319 E Ridgewood Ave, Ridgewood, New Jersey |
| Authorized Official Name and Position | Jennifer Driscoll (OWNER) |
| Authorized Official Contact | 5513059600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenni Levine Driscoll Po Box 537 Midland Park NJ 07432-0537 Ph: () - | Jenni Levine Driscoll 319 E Ridgewood Ave Ridgewood NJ 07450-3301 Ph: (551) 305-9600 |
| NPI Number | 1801540224 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 02/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801540224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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